Active NPI
Alana Maria Nicolazzo, MA. LLPC
- Mental Health Counselor
- Warren, MI
National Provider Identifier
1144602897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401014852
- Practice address
- 29203 Roan Dr
Warren, MI 48093-3566 - Phone
- (586) 823-6807
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401014852 | MI | Primary |
Addresses
Primary practice location
29203 Roan Dr
Warren, MI 48093-3566
Mailing address
29203 Roan Dr
Warren, MI 48093-3566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401014852 | Other | MI | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401014852 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1144602897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29203 ROAN DR",
"city": "WARREN",
"state": "MI",
"postal_code": "480933566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29203 ROAN DR",
"city": "WARREN",
"state": "MI",
"postal_code": "480933566",
"telephone_number": "586-823-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAZZO",
"first_name": "ALANA MARIA",
"name_prefix": "Mrs.",
"credential": "MA. LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401014852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "6401014852",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.